An interventional study of Home visitation + HABITS program and Standard home visitation program in Obesity, Obesity, Childhood and Obesity; Familial, sponsored by University of Alabama at Birmingham. Completed at 1 site in United States. Open to participants aged 0 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-10-29.
Sponsored by University of Alabama at Birmingham · Not applicable, Interventional, and Prevention
The purpose of this study is to evaluate whether an intervention targeting healthy habit development reduces the risk and prevalence of obesity in low-income mothers and children. The study intends to evaluate whether the intervention, delivered in the context of home visitation services for low-income families, reduces weight gain and risk factors associated with parent and childhood obesity compared to those receiving standard home visitation services.
Participants will be 140 mothers (>50% African American; 100% meet federal poverty level) and their children (n=140; 0-4yo at baseline) (total of N=140 mother-child dyads; i.e., 140 mothers + 140 children = 280 total participants) enrolled in our home visitation partner in central Alabama. Home visitors will be randomly assigned to deliver the home visitation curriculum with or without HABITS (an obesity prevention program targeting key eating and activity behaviors) as part of their monthly home visits for 12 months. Treatment sessions for standard of care or standard + HABITS arms will be facilitated by trained home visitors. If a mother or primary caregiver and her child are randomized to participate in the HABITS + Standard home visitation curriculum, they will receive \~15 minutes of information, activities, and assistance regarding the development of key behaviors relating to obesity prevention, which will be imbedded within the existing home visitation curriculum. The HABITS program will address habit-formation of four behaviors relevant to mothers or primary caregivers and children: (1) limit fried foods; (2) limit sugar-sweetened beverages (SSB); (3) increase daily steps; (4) increase fruits and vegetables. Additionally, mothers or primary caregivers will also practice habit formation focused on self-monitoring of weight and the four behaviors previously mentioned. Skill training will focus on habit formation and home environment modification conducive to the four behaviors.
Mothers or primary caregivers in the intervention group will be provided the HABITS + standard home visitation program for 12 months, while those in the control group will be provided the standard home visitation program during this time. Treatment in the control arm includes the content and services typically provided by the home visitation partner, which is focused on promoting caregiver and child health by providing screenings and referrals, encouraging smoking cessation, promoting safe sleep practices, and strengthening children's school readiness and achievement, social/emotional and physical development.
1,129 studies on the registry are indexed under Pediatric Obesity; 187 are open to participants now.
This study's enrollment of 296 is above the median of 100 across 870 interventional studies indexed under Pediatric Obesity.
Browse Pediatric Obesity studies →University of Alabama at Birmingham is the lead sponsor of 1,421 studies on the registry; 277 are open to participants now.
Of its 164 completed or terminated interventional studies of FDA-regulated products, 130 (79%) have results posted.
Compared within Pediatric Obesity, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Obesity. The counts are of registry records indexed under each term, refreshed daily. How we classify →
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*Important: Mother (or caregiver) and child dyads are enrolled together. Both must meet inclusion criteria to participate.
Mothers or Primary Caregivers:
Children:
Exclusion Criteria:
Mothers or primary caregivers:
Children:
The HABITS module will target 5 key behaviors (physical activity, increasing fruit and vegetable consumption, decreasing sugary beverages, decreasing fried foods, and encouraging regular self-monitoring and self-weighing) aimed at reducing obesity risk in mothers or primary caregivers and children. Participants will receive the HABITS module in addition to their standard home visitation services.
Behavioral: Home visitation + HABITS program · Behavioral: Standard home visitation program
Participants will receive the standard of care home visitation regularly delivered through the existing home visitation program without the HABITS module.
Behavioral: Standard home visitation program
The HABITS program will target 5 key behaviors (physical activity, increasing fruit and vegetable consumption, decreasing sugary beverages, decreasing fried foods, and encouraging regular self-monitoring and self-weighing) aimed at reducing obesity risk in mothers or primary caregivers and children.
Treatment in the control arm includes the content and services typically provided by the home visitation partner, which is focused on promoting caregiver and child health by providing screenings and referrals, encouraging smoking cessation, promoting safe sleep practices, and strengthening children's school readiness and achievement, social/emotional and physical development.
Weight of Mothers
Body weight (kg) at baseline and follow-up assessments.
Time frame: Baseline, 6 months, 12 months
Weight of Children
Body weight (kg) at baseline and follow-up assessments..
Time frame: Baseline, 6 months, 12 months
Habit Strength of Targeted Behaviors
Habit strength for caregivers will be assessed using the Self-Reported Habit Index (SRHI) specific to target behaviors on a scale from 1-5 with scores of 5 indicating higher caregiver habit strength for the target behavior.
Time frame: Baseline, 6 months, 12 months
Household Environment Assessing the Number of Different Food Items Available
Household environment assessing the number of different food items available in the home of the caregiver will be assessed using a modified Home Food Assessment (HFA) relating to the 4 food-related target behaviors (fruits, vegetables, sugary beverages, and fried foods). Higher values indicate more different food items in that category (fruits, vegetables, sugary beverages, and fried foods) are available within the home.
Time frame: Baseline, 6 months, 12 months
Household Environment Assessing the Number of Different Activity-promoting Items Available
Household environment assessing the number of different activity-promoting items available in the home of the caregiver will be assessed using a modified Home - Inventory Describing Eating and Activity Development (H-IDEA) form. Higher values indicate more availability of different activity-promoting items in the home.
Time frame: Baseline, 6 months, 12 months
Maternal Eating Practices
Assessed using modified food and activity frequency measure from the National Health and Nutrition Examination Survey (NHANES), amended to measure target habit behaviors of feeding and activity. Scored on a scale from 0-6 with higher values indicated more frequent consumption of that food or engagement in that behavior.
Time frame: Baseline, 6 months, 12 months
Maternal Feeding Practices
Assessed using modified food and activity frequency measure from NHANES, amended to measure target habit behaviors of feeding and activity. Scored from 0-7 with higher values indicated more frequent consumption of food or engagement in the behavior.
Time frame: Baseline, 6 months, 12 months
Caregiver Depressive Symptoms on the Personal Health Questionnaire Depression Scale (PHQ-8)
The Personal Health Questionnaire Depression Scale (PHQ-8), a validated self-report measure of depressive symptoms experienced over the past two weeks, will be administered to caregivers. PHQ-8 scores range from 0-24, higher scores indicate higher caregiver depressive symptoms.
Time frame: Baseline, 6 months, 12 months
Number of Caregivers With Changes to Their Medical History
Self-reported changes to medical history for caregivers (caregiver illnesses, etc.) will be collected.
Time frame: 6 months, 12 months
| Milestone | Home Visitation + HABITS Program | Standard Home Visitation Program |
|---|---|---|
| Started | 158 | 138 |
| Caregivers started | 79 | 69 |
| Children started | 79 | 69 |
| Caregivers completed | 71 | 63 |
| Children completed | 71 | 63 |
| Completed | 142 | 126 |
| Not completed | 16 | 12 |
| Withdrew: Death | 1 | 1 |
| Withdrew: Lost to follow-up | 14 | 11 |
| Withdrew: Pt in icu and unable to complete follow-up visit | 1 | 0 |
Body weight (kg) at baseline and follow-up assessments.
| Kilograms | Home Visitation + HABITS Program | Standard Home Visitation Program |
|---|---|---|
| Baseline | 88.65 ± 26.04 | 97.43 ± 31.29 |
| 6-months | 85.96 ± 27.01 | 96.52 ± 28.97 |
| 12-months | 85.94 ± 23.78 | 98.75 ± 30.77 |
Body weight (kg) at baseline and follow-up assessments..
| Kilograms | Home Visitation + HABITS Program | Standard Home Visitation Program |
|---|---|---|
| Baseline | 13.88 ± 3.80 | 14.23 ± 5.10 |
| 6-months | 15.40 ± 3.76 | 15.94 ± 5.21 |
| 12-months | 16.83 ± 3.95 | 17.58 ± 5.80 |
Habit strength for caregivers will be assessed using the Self-Reported Habit Index (SRHI) specific to target behaviors on a scale from 1-5 with scores of 5 indicating higher caregiver habit strength for the target behavior.
| Score on a scale | Home Visitation + HABITS Program | Standard Home Visitation Program |
|---|---|---|
| Baseline- Fruit | 3.58 ± 0.96 | 3.67 ± 0.91 |
| 6-month- Fruit | 3.86 ± 0.81 | 3.95 ± 0.71 |
| 12-month- Fruit | 3.91 ± 0.96 | 4.26 ± 0.80 |
| Baseline-Vegetables | 3.72 ± 1.00 | 3.79 ± 0.84 |
| 6-month-Vegetables | 3.91 ± 0.82 | 4.07 ± 0.73 |
| 12-month-Vegetables | 4.02 ± 1.01 | 4.18 ± 0.84 |
| Baseline-Fried Food | 3.30 ± 1.09 | 2.99 ± 1.01 |
| 6-month-Fried Food | 2.95 ± 1.09 | 2.89 ± 1.10 |
| 12-month-Fried Food | 2.96 ± 1.07 | 3.13 ± 1.09 |
| Baseline-SSB | 3.41 ± 1.14 | 3.13 ± 1.18 |
| 6-month-SSB | 2.80 ± 1.13 | 2.98 ± 1.13 |
| 12-month-SSB | 3.19 ± 1.22 | 3.27 ± 1.20 |
| Baseline-Activity | 4.09 ± 0.83 | 3.99 ± 0.78 |
| 6-month-Activity | 4.12 ± 0.73 | 4.08 ± 0.61 |
| 12-month-Activity | 4.13 ± 0.78 | 4.29 ± 0.56 |
Household environment assessing the number of different food items available in the home of the caregiver will be assessed using a modified Home Food Assessment (HFA) relating to the 4 food-related target behaviors (fruits, vegetables, sugary beverages, and fried foods). Higher values indicate more different food items in that category (fruits, vegetables, sugary beverages, and fried foods) are available within the home.
| Available food items | Home Visitation + HABITS Program | Standard Home Visitation Program |
|---|---|---|
| Baseline-Fruit Availability | 5.01 ± 3.14 | 5.64 ± 3.75 |
| 6-month-Fruit Availability | 6.00 ± 3.89 | 5.58 ± 3.40 |
| 12-month-Fruit Availability | 5.28 ± 3.11 | 5.66 ± 2.72 |
| Baseline-Vegetable Availability | 7.46 ± 3.66 | 7.29 ± 3.65 |
| 6-month-Vegetable Availability | 6.69 ± 4.01 | 7.89 ± 4.56 |
| 12-month-Vegetable Availability | 7.14 ± 3.83 | 7.34 ± 3.37 |
| Baseline-Fried Food | 3.61 ± 3.05 | 3.30 ± 2.41 |
| 6-month-Fried Food | 3.72 ± 2.65 | 3.71 ± 2.15 |
| 12-month-Fried Food | 4.08 ± 2.68 | 3.71 ± 2.36 |
| Baseline-SSB | 4.44 ± 2.89 | 3.84 ± 2.27 |
| 6-month-SSB | 4.26 ± 2.66 | 4.09 ± 2.37 |
| 12-month-SSB | 3.96 ± 2.43 | 3.68 ± 2.45 |
Household environment assessing the number of different activity-promoting items available in the home of the caregiver will be assessed using a modified Home - Inventory Describing Eating and Activity Development (H-IDEA) form. Higher values indicate more availability of different activity-promoting items in the home.
| Available activity items | Home Visitation + HABITS Program | Standard Home Visitation Program |
|---|---|---|
| Baseline | 3.96 ± 1.77 | 3.81 ± 1.58 |
| 6-month | 4.59 ± 2.11 | 4.40 ± 2.15 |
| 12-month | 4.30 ± 1.62 | 4.74 ± 2.17 |
Assessed using modified food and activity frequency measure from the National Health and Nutrition Examination Survey (NHANES), amended to measure target habit behaviors of feeding and activity. Scored on a scale from 0-6 with higher values indicated more frequent consumption of that food or engagement in that behavior.
| Score on a scale | Home Visitation + HABITS Program | Standard Home Visitation Program |
|---|---|---|
| Baseline-Fruit | 2.67 ± 1.73 | 2.33 ± 1.36 |
| 6-month-Fruit | 3.11 ± 1.68 | 2.57 ± 1.38 |
| 12-month-Fruit | 2.94 ± 1.76 | 2.94 ± 1.61 |
| Baseline-Vegetable | 2.99 ± 1.42 | 2.49 ± 1.35 |
| 6-month-Vegetable | 2.61 ± 1.42 | 2.66 ± 1.25 |
| 12-month-Vegetable | 2.73 ± 1.49 | 2.84 ± 1.43 |
| Baseline-Fried Food | 1.96 ± 1.46 | 1.23 ± 0.97 |
| 6-month-Fried Food | 1.65 ± 1.29 | 1.37 ± 1.14 |
| 12-month-Fried Food | 1.38 ± 1.09 | 1.35 ± 1.17 |
| Baseline-Soda | 2.35 ± 2.04 | 1.72 ± 1.89 |
| 6-month-Soda | 1.52 ± 1.44 | 1.48 ± 1.57 |
| 12-month-Soda | 1.66 ± 1.71 | 1.77 ± 1.88 |
| Baseline-Walk | 4.30 ± 1.84 | 4.16 ± 1.94 |
| 6-month-Walk | 5.25 ± 1.52 | 4.78 ± 1.75 |
| 12-month-Walk | 5.14 ± 1.53 | 4.95 ± 1.61 |
Assessed using modified food and activity frequency measure from NHANES, amended to measure target habit behaviors of feeding and activity. Scored from 0-7 with higher values indicated more frequent consumption of food or engagement in the behavior.
| Score on a scale | Home Visitation + HABITS Program | Standard Home Visitation Program |
|---|---|---|
| Baseline-Fruit | 4.19 ± 1.96 | 4.14 ± 1.88 |
| 6-month-Fruit | 4.46 ± 1.73 | 4.54 ± 1.45 |
| 12-month-Fruit | 4.27 ± 1.65 | 4.37 ± 1.54 |
| Baseline-Vegetable | 4.03 ± 1.87 | 3.70 ± 1.74 |
| 6-month-Vegetable | 3.81 ± 1.69 | 4.02 ± 1.52 |
| 12-month-Vegetable | 3.86 ± 1.55 | 3.77 ± 1.62 |
| Baseline-Fried Food | 2.63 ± 1.70 | 2.13 ± 1.37 |
| 6-month-Fried Food | 2.37 ± 1.14 | 2.29 ± 1.27 |
| 12-month-Fried Food | 2.28 ± 1.24 | 2.11 ± 0.70 |
| Baseline- Soda | 1.73 ± 1.64 | 1.46 ± 1.28 |
| 6-month-Soda | 1.72 ± 1.35 | 1.68 ± 1.32 |
| 12-month-Soda | 1.72 ± 1.22 | 1.85 ± 1.34 |
| Baseline-Activity | 5.43 ± 1.89 | 5.22 ± 2.15 |
| 6-month-Activity | 6.46 ± 1.18 | 6.09 ± 1.45 |
| 12-month-Activity | 6.04 ± 1.61 | 5.92 ± 1.85 |
The Personal Health Questionnaire Depression Scale (PHQ-8), a validated self-report measure of depressive symptoms experienced over the past two weeks, will be administered to caregivers. PHQ-8 scores range from 0-24, higher scores indicate higher caregiver depressive symptoms.
| Score on a scale | Home Visitation + HABITS Program | Standard Home Visitation Program |
|---|---|---|
| Baseline | 4.59 ± 4.19 | 4.42 ± 4.39 |
| 6-months | 3.48 ± 3.64 | 3.08 ± 3.56 |
| 12-months | 3.64 ± 3.56 | 3.03 ± 3.70 |
Self-reported changes to medical history for caregivers (caregiver illnesses, etc.) will be collected.
| Participants | Home Visitation + HABITS Program | Standard Home Visitation Program |
|---|---|---|
| 6-months — Had a change to medical history in last 6-months | 2 | 4 |
| 6-months — No change to medical history in last 6-months | 51 | 61 |
| 12-months — Had a change to medical history in last 6-months | 3 | 2 |
| 12-months — No change to medical history in last 6-months | 68 | 60 |
Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Home Visitation + HABITS Program: Caregivers | 0/79 (0%) | 0/79 (0%) | 0/79 (0%) |
| Home Visitation + HABITS Program: Children | 1/79 (1.3%) | 1/79 (1.3%) | 0/79 (0%) |
| Standard Home Visitation Program: Caregivers | 1/69 (1.4%) | 1/69 (1.4%) | 0/69 (0%) |
| Standard Home Visitation Program: Children | 0/69 (0%) | 0/69 (0%) | 0/69 (0%) |
| Event | Home Visitation + HABITS Program: Caregivers | Home Visitation + HABITS Program: Children | Standard Home Visitation Program: Caregivers | Standard Home Visitation Program: Children |
|---|---|---|---|---|
| HospitalizationInfections and infestations | 0/79 | 1/79 | 1/69 | 0/69 |
| Age, Categorical(Participants) | Home Visitation + HABITS Program | Standard Home Visitation Program | Total |
|---|---|---|---|
| Caregivers — <=18 years | 0 | 0 | 0 |
| Caregivers — Between 18 and 65 years | 79 | 68 | 147 |
| Caregivers — >=65 years | 0 | 1 | 1 |
| Children — <=18 years | 79 | 69 | 148 |
| Children — Between 18 and 65 years | 0 | 0 | 0 |
| Children — >=65 years | 0 | 0 | 0 |
| Age, Continuous(Years) | Home Visitation + HABITS Program | Standard Home Visitation Program | Total |
|---|---|---|---|
| Caregivers | 31.52 ± 6.83 | 32.52 ± 9.66 | 31.98 ± 8.26 |
| Children | 2.71 ± 1.24 | 2.59 ± 1.22 | 2.66 ± 1.22 |
| Sex: Female, Male(Participants) | Home Visitation + HABITS Program | Standard Home Visitation Program | Total |
|---|---|---|---|
| Caregivers — Female | 78 | 69 | 147 |
| Caregivers — Male | 1 | 0 | 1 |
| Children — Female | 40 | 34 | 74 |
| Children — Male | 39 | 35 | 74 |
| Ethnicity (NIH/OMB)(Participants) | Home Visitation + HABITS Program | Standard Home Visitation Program | Total |
|---|---|---|---|
| Caregivers — Hispanic or Latino | 6 | 3 | 9 |
| Caregivers — Not Hispanic or Latino | 73 | 66 | 139 |
| Caregivers — Unknown or Not Reported | 0 | 0 | 0 |
| Children — Hispanic or Latino | 6 | 2 | 8 |
| Children — Not Hispanic or Latino | 73 | 67 | 140 |
| Children — Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Home Visitation + HABITS Program | Standard Home Visitation Program | Total |
|---|---|---|---|
| Caregivers — American Indian or Alaska Native | 0 | 0 | 0 |
| Caregivers — Asian | 0 | 0 | 0 |
| Caregivers — Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Caregivers — Black or African American | 60 | 53 | 113 |
| Caregivers — White | 15 | 11 | 26 |
| Caregivers — More than one race | 1 | 4 | 5 |
| Caregivers — Unknown or Not Reported | 3 | 1 | 4 |
| Children — American Indian or Alaska Native | 0 | 0 | 0 |
| Children — Asian | 0 | 0 | 0 |
| Children — Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Children — Black or African American | 61 | 55 | 116 |
| Children — White | 14 | 8 | 22 |
| Children — More than one race | 2 | 6 | 8 |
| Children — Unknown or Not Reported | 2 | 0 | 2 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: Yes — With the documented permission of the IRB, the PI may develop a transportable de-identified database, codebook, and mechanism by which data can be shared with qualified investigators. Interested investigators will be asked to complete a standardized request form stating the specific aims of the analyses, the analytic plan, available resources for completing the proposed project, proposed timeline, and goals (i.e., manuscripts, presentations, and/or grant applications). The PI and research team will review these requests to determine whether the proposed analyses constitute an innovative and significant exploration of the data, whether the proposed team has sufficient resources to complete the request, and whether data will be adequately protected and managed. If any of these issues are problematic, the PI and research team will attempt to negotiate a fair resolution with the interested investigators and NIMHD program staff.
Supporting information: Study protocol, Statistical analysis plan, Clinical study report, Analytic code
Ran from Dec 2019 to primary completion in Feb 2023, 38 months.
Results were first posted in Apr 2024, 1 year 1 month after primary completion.
Of 539 non-industry interventional studies with no phase under Pediatric Obesity, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 45. This study's 38 months is above that.
Counting every sponsor, half of 541 studies reached it within 25 months; a quarter within 11 and three quarters within 45.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.
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University of Alabama at Birmingham →